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            WLS Center E-Newsletter 
            
            A 
            FREE publication fromhttp://www.WLScenter.com
 
              
            
            Hosted by 
            Barbara ThompsonAuthor of:
 Weight Loss Surgery:
 Finding the Thin Person Hiding Inside You.
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             Barbara 
            Thompson
 The Voice of Obesity
 | Hello Everyone,Yea!! It’s summer!! June 21st is a national holiday for me.  I 
              just love summer so much! Summer means “get outdoors and do 
              something” to me which usually translates into hitting the 
              beautiful biking trails that we have around Western Pennsylvania. 
              Remember to take advantage of the weather and try something new.
 This afternoon when I was biking, I saw 
              someone using a Trikke and as we were passing I yelled
              to him, asking how he liked it.  He 
              let me try it. It is tough and takes some getting used to, but it 
              was certainly different! What an experience and definitely harder 
              than it looks!
               In the article below a reader details her 
              experience with PLOM Disease. It’s definitely something you don’t 
              want to catch! Enjoy your summer!!
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            In This Issue |  |  
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            * PLOM Disease 
            * Ask and Ye Shall Learn Results  
            * Back on Track* Fat Burning vs. Cardio
 
            * Cruise Info 
            * Plastic Surgery Responses  
            * Summer Sale 
            * Hypoglycemia 
            * Blogging Along 
            * Recipe: Almond Fudge Freeze * 
            Success Story: Becky Hadley
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                    |  | PLOM Disease |  
                    | I received the following email recently from JoAnne. 
                    JoAnne learned an important lesson recently that we can all 
                    benefit from. JoAnne’s husband nearly died from pancreatitis 
                    and has not had anything to eat for over a month. All of his 
                    nourishment comes from a PICC line into his vein. He has 
                    lost 36 pounds and is very weak. JoAnne has gracious given 
                    permission to share her lessons learned with you.  JoAnne 
                    wrote: Barbara, this whole experience with Joe’s 
                    health has taught me so much. First of all, I take too much 
                    for granted. When faced with possibly losing the love of my 
                    life, I realized that I have taken him for granted for 
                    years. I just never stopped to think about the possibility 
                    of not having him at my side. I will never go
                    another day without telling him I love him or 
                    thanking God for giving him to me. Secondly, I have seen food and exercise in a different 
                    light. I have been going through a period of PLOM's disease 
                    (Poor Little Old Me) lately. I have gained back 12 pounds 
                    from the time I lost so much after my gastric bypass 
                    surgery. It seemed like I just couldn't get it off.  Poor little old me! I went through that surgery, suffered 
                    without sweets, can't eat what others are enjoying in front 
                    of me, and still pounds have come back. Poor little old me!
                     Now let me explain. I was still eating smaller amounts 
                    but not always what I should be eating. I have a wonderful 
                    work out suit that gets worn for trips to the store. I have 
                    an elliptical machine in my family room collecting dust. I 
                    have a 12-year old overweight dachshund that needs (but 
                    doesn't get) his daily walk because I have been too lazy to 
                    walk him. But poor little old me!    Seeing Joe having to go without even a drink of water for 
                    four weeks and getting weaker and weaker along with the 
                    drastic weight loss was horrible. But, one night it hit me
                    like a ton of bricks: "JoAnne, you are so lazy in 
                    mind and in body! You were given the gift of a new thinner 
                    life with weight loss surgery but you've become too lazy to 
                    follow the rules and have the nerve to feel sorry for 
                    yourself! Living without food has wiped Joe out. He's weak 
                    and sick. You have the luxury of being able to eat and you 
                    stuff your small pouch with garbage. You have the energy to 
                    exercise and you sit on your lazy 
                    hind side. You have Barbara's Back on Track program and 
                    swear to get yourself back on track.
                     What has happened to 
                    you?"     Well, it might have taken the BIG SMACK from up above to 
                    jerk me into line but I'm grateful for it. I got out my 
                    "Back on Track" notebook and started all over. Now I am 
                    determined to actually walk the talk!  I am taking small steps forward.  For five days now I 
                    have improved my diet going back to high protein low carbs 
                    like before. I put on the workout suit and have actually 
                    dusted and worked out on the elliptical machine each 
                    evening. My dachshund is still overweight but the daily 
                    walks will pay off in time (for both of us!).   Your "Back on Track" program, inspirational messages and 
                    book are part of my daily routine once again. Thanks for you 
                    concern, Barbara.  And, thanks for caring so much about all 
                    of us! JoAnne |  
       
                
                
                  
                    |  | Ask and Ye Shall Learn 
                    Results |  
                    | In the last newsletter, I 
                    included a link to survey questions about your experiences, 
                    thoughts, and habits and received really interesting 
                    answers. Most of you found your surgeon from a recommendation of a 
                    family member or friend or through the internet. And an 
                    aftercare program is very important to you. Nearly 80% of you exercise, which is much higher than I 
                    would have thought. And although nearly 30% of you exercise 
                    60 to 100 minutes per week, the rest of the times are split. I was very surprised to find out that over 71 % of you 
                    experienced hair loss after surgery. The literature says 
                    that about 30% have hair loss.  From what I have seen 
                    traveling around the country, I knew that statistic was off, 
                    and you have just confirmed it.
                     And on the question regarding an internet radio show that 
                    I am planing, over 84% of you 
                    would be somewhat or very likely to listen to me on the 
                    radio.  If you would like to see the specific percentages, 
                    
                    click here: I am compiling a list of questions for the next survey, 
                    so send your questions 
                    directly to me at 
                    Barbara@WLScenter.com. Include anything that you 
                    have been wondering about, and also those questions when you 
                    have wondered if you are the only one. |  
       
          
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                It's Time to get Back On Track If 
                you’re not happy with your weight loss, 
                then join theBack on Track with Barbara Internet Mentoring
                Program.
 Back On Track with Barbara is a 6-month or 
                a 12-month
                membership program that provides an 
                internet mentorship for those 
                who are struggling with weight regain after weight loss 
                surgery.  It also benefits those who have never reached their 
                goal weight after surgery |  
                | 
                Here is a recent 
                comment from a new member:“I sure wish I had come here when my eating started slipping. 
                But we are all on our own journeys--even though we have so much 
                in common.  I highly recommend listening to some of the audio 
                seminars. I just joined last week and already I have a ray of 
                hope I haven't had in quite some time.” 
                Cindy
 For more 
                information or to join the Program, go 
                to 
                http://www.BackOnTrackWithBarbara.com
                  |  |  
       
                
                
                  
                    |  | Fat Burning vs. Cardio |  
                    | 
                    Hi Barbara, 
                    I have a question about exercise.  I go to the gym and all 
                    the machines ask if you want a fat burning or a cardio 
                    workout. For the cardio workout, obviously it works on 
                    getting your heart rate up for a period of time.  However, 
                    for the fat burning workout I guess the idea is to keep your 
                    heart rate lower & steady while exercising. I know that both 
                    have benefits, but can you please explain the physiology of 
                    the two different workouts? Isn't the idea of exercise to 
                    burn the excess calories that your body can't burn off?  
                    Doesn't exercise help you burn calories regardless of your 
                    heart rate?   
                    Thanks 
                    Peggy   
                    Hi Peggy, 
                    This can be very confusing. But before I get into your 
                    question, let’s look at something called “maximum heart 
                    rate.” This was developed by the American College of Sports 
                    Medicine and is equal to the number 220 minus your age. So 
                    if you are 40 years old, the maximum number of times your 
                    heart should beat in one minute would be 180. The normal 
                    resting adult heart rate is somewhere between 60 and 100.
                     
                      
                    Fat burning sounds so vigorous, yet it is the lower level of 
                    the fat burning/cardio question.  Fat burning is a 
                    low-intensity workout for burning the body’s fat reserves. 
                    For fat burning, you should be working at 65% of your 
                    maximum heart rate.  Again, if you are 40 years old, you 
                    would calculate that to be 180 x .65 = 117 beats per minute 
                    while you are exercising.  
                      
                    Cardio exercises are higher in intensity to raise your heart 
                    rate. And like the fat burning intensity are also designed 
                    to burn fat, however cardio 
                    exercises are designed to burn maximum fat. 
                    For cardio exercises, you should be working at 80% of 
                    your maximum heart rate.  Again, if you are 40 years old, 
                    you would calculate that to be 180 x .8 = 144 beats per 
                    minute while you are exercising.  
                      
                    You will burn more calories in a 30 minute exercise on 
                    cardio than on fat burning. The caloric expenditure is 
                    directly related to the amount of effort an activity 
                    requires. In general, the more difficult it feels the more 
                    calories you burn. The easier it feels the fewer calories 
                    you burn. That’s it. It all comes 
                    down to intensity.  
                      
                    The speed that you exercise doesn’t matter at all. For 
                    instance, I was bicycling today and was doing a leisurely 7 
                    miles per hour on my bike.  I was pedaling up a slight 
                    grade. The guys in Speedos were zooming past me.  But I had 
                    the satisfaction of knowing that if we both pedaled 10 
                    miles, we would burn the same number of calories no matter 
                    how fast the Speedo guys went.  
                      
                    Where the difference comes in is intensity.  If we both 
                    pedal for 1 hour, then the Speedo guy will not only burn 
                    more calories, but will build more muscles.  And we want to 
                    build more muscles because the more muscles we have, the 
                    higher our metabolism.  A higher metabolism means that we 
                    can eat more and not gain weight. 
                      
                    If you have not been exercising, and are in good health you 
                    could start with the fat burning intensity – as long as it 
                    is OK with your doctor and then work up to cardio. And you 
                    want to reach the cardio level because it is more intense 
                    and with it you will be building more muscles.  While any 
                    exercise is good, always have an eye toward increasing 
                    intensity.  
                        
                    Hope that helps. 
                      
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                  Cruise to Paradise 
                  Info |  
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                  The window for group rates for our cruise to the Gran Cayman 
                  Islands and Calico, Mexico on August 18th to 23rd 
                  has passed.  But if you would like to go, there is still 
                  room.  However your fare might be higher than under our group 
                  rate.    
                  
                  Contact Dan, our cruise 
                  Director at 800-818-3739 |  
       
                  
                    |  | Plastic Surgery Responses |  
                    | I had several responses to the plastic surgery question that 
                    was posed in the last newsletter, “Getting Creative with 
                    Plastic Surgery Finance,”
                    
                    http://www.wlscenter.com/NLArchive/june_15_2007.htm , 
                    however no one had a real solution. 
                      
                    What I also heard was tremendous frustration from those who 
                    feel that the weight loss is only 
                    half the journey, having been left with extreme amounts of 
                    hanging skin. And there is no one taking up this battle.  
                    Bariatric surgeons have their own insurance battles to 
                    fight. And plastic surgeons don’t seem to be inclined.  They 
                    are accustomed to people self paying, because most of their 
                    practice is cosmetic.  They also know that if insurance 
                    pays, they will likely be receiving less than what they 
                    would receive from you. There is no advocate for insurance 
                    to pay. But I never give up a fight, so I will keep my ears 
                    open for any solutions. |  
      
       
              
                |  | 
                
                Summer Sale |  
                | For the month of July, 
                my books and CDs are 10% off.  
                To receive the discount, enter the Code word
                Summer just above where you enter your credit card 
                number on my shopping cart.    To reach 
                my shopping cart, go to
                
                http://www.wlscenter.com/1shopmain.htm 
                  
                  
                    
                      | 
                      Here is a Summer tip 
                      for you peoplethinking about Plastic Surgery.
 (Don't forget the code word: 
                      Summer)
 
                        
                        
                          
                            | Check out my  audio CD created especially for YOU!! | 
                      Click Here |  |  |  
      
       
            
            
              
                |  | Hypoglycemia |  
                | I would be very interested in hearing from 
                anyone who has been diagnosed with reactive hypoglycemia. Please 
                email me at
                
                Barbara@WLScenter.com and tell me of your experiences.
                 |  
      
       
            
            
              
                |  | Blogging Along |  
                | If you haven’t stopped by my Blog lately, 
                please do.  There are some new articles there.  And please feel 
                free to leave me some comments. I would love to hear your 
                thoughts on any of these topics.  
                
                Visit my blog at
                
                http://weightlosssurgeryblog.net/ |  
      
       
            
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                    | Recipe: |  
                    |  | Almond 
                    Fudge Freeze |  |  
              | 
              Here is a yummy and easy to prepare 
              dessert perfect for summer. 
                
              Almond Fudge Freeze 
                
              Ingredients: 
              ½ cup ice 2 cups sugar free vanilla ice cream or frozen yogurt
 ¼ cup Smucker’s Sugar Free Hot Fudge Topping
 1/8 teaspoon almond extract
 Sugar Free whipped topping, optional
 Cocoa powder, optional
 
                
              1. Combine all ingredients in a blender 
              container in the order listed. Process on and off,  stirring in 
              between, to blend ingredients. 2. Pour into glasses. Garnish with a dollop of whipped cream and 
              cocoa powder, if desired.
 With hot fudge topping: Remove lid, warm jar in microwave for 
              approximately 30 seconds. Stir topping. 
              Do not overheat.
 
              Makes 4 servings. 
                
              Nutritional information per serving:Calories: 144
 Carbohydrates: 27g
 Protein: .3g
 If you have a recipe that you would like to share in future issues 
              of this newsletter, please send it to me 
              at
              
              Barbara@WLScenter.com |  
      
       
          
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            I want to offer a special thanks to Becky Hadley. Here is her 
            story: 
              
            Dear Barbara, 
            I wanted to share my success story with you.  I'm 33 years old and 
            have been heavy and overweight all my life.  As a child growing up I 
            was always taller then most, which helped in some ways, but I was 
            always chunkier then most too.  The more I grew the worse the 
            problem became. Most of my weight was in my stomach and hips but 
            soon it expanded to my legs and arms.  
              
            When I was in the sixth grade, and wearing close to a size 14, my 
            mom took me to one of the hospital nutrition experts and enrolled me 
            in the hospital workout program hoping to help me.  It didn't help 
            me much, although I did follow the program for eight weeks.  After 
            that it was one diet program after another.  I went to the county 
            nutritionist, Weight Watchers, Nutri 
            System, my school nutritionist, Slim Fast, etc., but nothing seemed 
            to help.  I just kept gaining weight.  
              
            By the time I graduated high school I was in a size 20 and my weight 
            was around 250 pounds.  I
            carried it better then most, since I am 5'9 inches tall but 
            it was still a huge problem.  I married the first guy that came 
            along, hoping that would make me happier.  My weight soared to 309 
            pounds in 2 years. I got on a diet pill, prescribed by a doctor, and 
            lost 80 pounds in about 9 months.  I was 
            so thrilled.  However once I got off the pill the weight started 
            coming back and I topped out again around 270 
            pounds.   
              
            I met and married my current husband, some 5 years later and he's 
            supported me thru everything.  I started checking into gastric 
            bypass surgery in 2000 after a vacation to Tennessee where we went 
            into some underground caverns and I literally couldn't breathe 
            trying to climb the stairs to leave the caves.   
            After the birth of our son in late 2001, I tried the working 
            out/diet pills again, but no luck this 
            time. Luckily I did not have any medical problems yet, with the 
            exception of back and knee pain. We moved from Florida to Texas in 
            2002 and with my husband’s blessings I had gastric bypass surgery in 
            May 2003. My weight at the time was 316 pounds.  
              
            Luckily I had no complications with surgery and have managed to go 
            from 316 pounds to 175 pounds, and a size 24/26 to a size 8/10. I 
            couldn't have done it without the love and support of my family and 
            friends and I am much happier today.  I have a lot more energy. I 
            can run and play with my son and I'm no longer afraid to leave the 
            house, for fearof people looking at me and laughing.  I would do it all over again 
            in a minute and would encourage others to do it as well.  It saved 
            me from a life of misery being overweight and unhappy.
   
            Thanks for letting me tell my story, 
            Barbara.  Keep up the great work!   
            Becky Hadley 
            Suthurnb2@yahoo.com 
              
              
              
                
                  |  |  |  
                  | Congratulations Becky |  |  
                
              
                
                  | 
                  I Need More 
                  Success Stories!! If you have good news, 
                  a success story to share, or 
                  inspiration, please send it to me at
                  
                  Barbara@wlscenter.com so that I can
                  include it in future issues.  |  
      
       
            
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                   | Permission to 
              Reprint |  
              | You may reprint any items from this newsletter in your own print or 
      electronic newsletter. But please include the following paragraph: 
            “Reprinted from Barbara Thompson’s free 
            e-newsletter featuring helpful information and research material to 
            help patients succeed following weight loss surgery. Subscribe at 
            http://www.barbarathompsonnewsletter.com  ”
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